Which surgical interventions are used in the treatment of chronic pilonidal disease?

Updated: Jun 11, 2018
  • Author: M Chance Spalding, DO, PhD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Chronic pilonidal disease is the term applied when patients have undergone at least one pilonidal abscess drainage procedure and continue to have a pilonidal sinus tract. The term also refers to a pilonidal sinus that is associated with a chronic discharge without an acute abscess. Surgical options for management of a noncomplicated chronic pilonidal sinus include the following:

  • Excision and laying open of the sinus tract
  • Excision with primary closure
  • Wide and deep excision to the sacrum
  • Incision and marsupialization
  • Bascom procedure
  • Asymmetrical incisions

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